Active NPI
Robert B Walters, CO/CPED
- Orthotist
- Raleigh, NC
National Provider Identifier
1952352270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 3923
- Practice address
- 3909 Sunset Ridge Rd
Ste 103
Raleigh, NC 27607-6667 - Phone
- (919) 789-8222
- Fax
- (919) 789-8226
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 3923 | NC | Primary |
Addresses
Primary practice location
3909 Sunset Ridge Rd
Ste 103
Raleigh, NC 27607-6667
Mailing address
3909 Sunset Ridge Rd
Ste103
Raleigh, NC 27607-6667
Phone (919) 789-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO003923 | Other | NC | ABC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3923 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1952352270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 SUNSET RIDGE RD",
"address_2": "STE103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076667",
"telephone_number": "919-789-8222",
"fax_number": "919-789-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 SUNSET RIDGE RD",
"address_2": "STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076667",
"telephone_number": "919-789-8222",
"fax_number": "919-789-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "CO/CPED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": "3923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABC",
"identifier": "CO003923",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.